Month: May 2017

Can a Superfit, Healthy, Vegan Triathlete Have a Stroke or Heart Attack?

Introduction

The sunset on December 30, 2015 in no way foreshadowed a dark and stormy night. A pity, for such might have sparked a premonition of perdition as I set off on a run around 5:30 p.m.

About ten minutes into it I found myself dazed and disoriented on the side of the road. Several strangers asked if I was OK, did I need any help. I brushed them off in a few words to the effect of I appreciate the offer but no worries. I’m fine – just resting a bit.

In fact, I wasn’t resting – I was wondering why I was on my knees, struggling to get up. I wanted to get on with my run. I had no idea how I got there, on the ground.

Other comments from Good Samaritans included:

* you don’t look so good.

* you’re bleeding – (I had no idea at the time).

* we saw you fall (still have no memory of that).

* shall we call an ambulance?

A new guy appeared, a tourist from Burlington, Vt. He first held my arm when I almost made it to my feet. Then he said, hearing my protests that I’d be fine – Listen to me. I’m a doctor – you’re having a stroke.

He called 911 and sat with me on the curb.

Until that point, I was in denial. (I’m fine. I’m fit – I must have just stumbled. Just help me up.) That was my mantra – until the doctor’s reality check. The fact that I could not stand seemed a bit worrisome.

While waiting for the ambulance, however, I kept hope alive, that this was merely a terrible and possibly expensive mistake (I had no time to shop around for ambulances, to compare prices and accommodations). I told the doctor that I was very fit, despite being somewhat mature (77) and that I had won national and world triathlon championships in recent years – and was about to describe my impressive body composition, vegan diet, low heart rate, how I take no meds, have no cavities and so on when he interrupted – Doesn’t matter. You’re having a stroke. Be quiet – the ambulance is here.

I was packed off to nearby Bayfront Hospital. Still, when wheeled into the ER, I felt pretty good and tried one more time, saying something like this: I really don’t think I should be here – you folks have seriously ill people to deal with – look after them. I’ll be just fine. I’m probably the healthiest person in this ER, though that may not be saying much. At this, I heard the person at my side, the EMT who drew my blood and otherwise looked over me on the way to the ER, say, in a bit of a sing-song fashion, No you’re not.

At that, I quieted down, resigned at last that the medicos would take it from there. Soon thereafter, the following transpired:

• Stroke confirmed in short order.

• Prodding and testing by many specialists.

• Loaded up with TPA – a powerful clot-buster which only works if administered within three hours of the incident, but the sooner, the better.

• Arrival of my wife Carol, who later attested that I failed the tests involving raising my left arm, left leg and touching my nose with my left index finger. (I thought I performed all these tasks brilliantly and still have no memory of not being able to do so).

• Taken to brain-related version of ICU.

• Prodded, tested, filled with IV saline solution and subjected to varied blood-letting procedures.

• Cat scanned, CETA’d and inserted into sundry machines that go ping. After the TPA was run through me, the paralysis abated and the rest of my two-day stay was devoted to observation and testing and evaluation. Was released at noon on New Year’s Day.

No evident problems weeks later (or immediately after the TPA injection in the ER), save what one doctor thought might be minor damage to the right frontal lobe (which I probably don’t use, anyway) – except now I have atrial fib – so must take a 20 mg pill (Xarelto) daily. At least for now, until something less powerful (aspirin?) might be found acceptable or safe.

How Long Does It Take To Cure Fingernail Fungus?

One of the most pressing issues these days would be the impact of our health on our lifestyle. So it hardly comes as a surprise that you need to figure out some home remedies for things that could in fact be minor, however having said that this all depends on the person.

For example how long does it take to cure fingernail fungus is a question that is asked by so many people, especially since this is somewhat of a common problem which faces a lot of people.

Yet it should be stated that figuring out how long it takes to get rid of fingernail fungus is a question has been asked lots of time. There is in fact probably more questions than answer to this problem. However there are solutions and it is not rocket science!

Finding a Cure for Finger and Toe Nail Fungus

When you ask yourself about finding a cure for fingernail fungus, remember that this is something that depends from person to person. So you can never really tell when exactly your issue with fingernail fungus will end.

All of it depends on how healthy you presently are and what type of medication you are taking. As most of you probably know, there are many types of medication that are available. For instance did you know that while many people would prefer to go to their family doctor and get medicine to sort this issue out, the more adventurous type of people would actually try some home remedies which are past down from generation to generation.

If you really want to know the approximate time for curing fingernail fungus, the best resource is to get information from your doctor or ask friends who had this problem.

The Progress Could be Slow in Finding a Cure

Don’t worry too much about knowing the answer for erasing fingernail fungus since what is most important is to see if the medicine that you are using is actually effective. While the progress per se may be slow, the factor in finding out how long it will takes depends on part on the medication being taken and your state of health currently.

The Possible Risks When Your Pain Doctor Prescribes Medication

There are many people who never experience a headache or muscle ache at some point. And for those, we often turn to an over-the-counter medication for relief. However, when the pain is chronic and severe, such as that experienced from arthritis, cancer, an injury or another issue, we seek help from a pain doctor.

The doctor will often prescribe a stronger medication such as a prescription opioid, which is a form of narcotics. Opioids are known to have side effects, some more serious than others. And if you are on other prescription medications, it can pose even more possible issues.

Your pain doctor may prescribe opioids to be taken around-the-clock to manage your chronic pain. In some cases, depending on the patient, their pain and other medications they may be taking, opioids may prescribe to take “as needed” for times when the pain “breaks through” the other pain medication. Breakthrough pain is when pain flares up, disregard of the round-the-clock pain medication.

What You Need To Tell Your Doctor

When your pain doctor prescribes opioid pain medications, you should advise them the following:

· How your pain responds to the medication

· If you are experiencing any side effects

· If you have other medical conditions that may increase any side effect risk

How Opioid Drugs Work

These drugs work using your brain, spinal cord and other parts of your body. They will bind the opioid receptors in your brain, spinal cord, etc. to reduce the number of pain messages that you brain receives. This, in turn, reduces the feelings of pain you experience.

Opioids Aren’t Friendly

While moderate to severe pain can be treated by opioids, they are not friends with many all medications, especially pain medications. Some opioid drugs are:

· codeine

· fentanyl

· hydrocodone

· hydrocodone/acetaminophen

· hydromorphone

· meperidine

· methadone

· morphine

· oxycodone

· oxycodone and acetaminophen

· oxycodone and naloxone

Most of the opioid medications that a pain doctor prescribes can be taken orally. Some of these must be taken by injection and there are some that are available in a patch now.

Should you feels as if the medications that you’re taking are having adverse reactions, never change how you take them or quit taking them before consulting with your doctor. You can always expect some type of reaction, but when they are causing you more problems than they are helping, your doctor will need to make some changes.

To just quit a medication totally on your own is dangerous and could cause a severe problem. If it is time for you to quit taking opioids, the doctor will have a process of weaning you slowly.

Side Effects To Expect

As we’ve stated earlier, you can expect to have some kind of side effect when taking opioids. This is why you need to have open communication with your pain doctor so that they can monitor and adjust as needed. Some of the side effects are:

· constipation

· drowsiness

· nausea

Always keep in mind that you should never consume alcohol while taking opioids. The combination can be dangerous and even deadly. Before you start taking any herbal or OTC medication in addition to what you’re already taking, consult with your pain doctor.